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目的了解云南省临沧市成人和儿童人群中小细胞低色素性贫血的发生率,初步分析地中海贫血症在临沧市的流行情况。方法选取2014年1月-2015年4月在临沧市临翔区妇幼保健院接受婚前医学检查的成年人3 658名和2015年1-5月在临沧市妇幼保健院住院治疗的儿童522名为研究对象,成人和儿童均以平均红细胞体积(MCV)<80 fl和/或平均红细胞血红蛋白量(MCH)<27 pg为筛查阳性的标准,分析成人和儿童小细胞低色素性贫血的检出率。结果 3 658名婚检成人中小细胞低色素性贫血筛查阳性352名,阳性率为9.62%,其中男性110名(5.80%),女性242名(13.73%)。住院儿童522名中小细胞低色素性贫血筛查阳性250名,阳性率为47.89%,其中男童158名(51.13%),女童92名(43.19%)。结论小细胞低色素性贫血是临沧市成人和儿童普遍存在的不良健康问题,可能与地中海贫血和缺铁性贫血相关,有必要进一步调查临沧市地中海贫血流行情况和产生小细胞低色素性贫血的原因,以制定当地居民健康促进计划。
Objective To understand the incidence of small cell hypochromic anemia in adults and children in Lincang, Yunnan Province, and to analyze the prevalence of thalassemia in Lincang. Methods From January 2014 to April 2015, 3 658 adults who received premarital medical examination in Linxiang District Maternal and Child Health Hospital of Lincang City and 522 children hospitalized in the Lincang MCH in January-May 2015 were selected. For the study population, both adult and children were examined for seizure-free status with mean corpuscular volume (MCV) <80 fl and / or mean corpuscular hemoglobin (MCH) <27 pg Rate out. Results A total of 352 positive screening tests were conducted in 3 658 premarital adult patients with small cell hypochromia. The positive rate was 9.62%, including 110 males (5.80%) and 242 females (13.73%). A total of 522 SMMCs in hospitalized children were screened positive, with a positive rate of 47.89%, including 158 boys (51.13%) and 92 girls (43.19%). Conclusion Small cell hypochromic anemia is an unhealthy health problem in adults and children in Lincang City. It may be related to thalassemia and iron deficiency anemia. It is necessary to further investigate the prevalence of thalassemia and the production of small cell hypochromism in Lincang Causes of anemia to develop local health promotion programs.